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SAMANTHA SEILER DO
NPI 1366006959
Family Medicine in Beaver Dam, WI

Active since April 29, 2019PECOS EnrolledAccepts Medicare Assignment
1701 N SPRING ST, BEAVER DAM, WI 53916(920) 644-0317(920) 644-0318 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 13, 2024, May 4, 2021, Apr 29, 2019 (3 updates tracked since 2019).

About Samantha Seiler Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA SEILER DO (NPI 1366006959) is an individual family medicine provider in Beaver Dam, Wisconsin, licensed in Ohio (34.015080) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2019).

NPPES Registry Identity

NPI1366006959
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSAMANTHA SEILERCredential: DO
Location Address1701 N SPRING STBeaver Dam, WI 53916-1178
Mailing Address1701 N Spring StBeaver Dam, WI 53916-1178 · (920) 644-0317 · Fax (920) 644-0318
Phone(920) 644-0317
Fax(920) 644-0318
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2019
Enumeration DateApril 29, 2019
Last NPPES UpdateAugust 13, 20243 updates tracked since enumeration
NPPES CertifiedAugust 13, 2024
✔ NPI 1366006959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 34.015080
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1701 N SPRING ST, Beaver Dam, WI 53916
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samantha Seiler Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830423037
PECOS Enrollment IDI20210526001698, I20230217002208
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Samantha Seiler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

La Clinica De Los Campesinos, Inc
81 mi
Federally Qualified Health Center (FQHC)
2501 MAIN ST
Stevens Point, WI 54481
  • Reassigned Medicare billing, Wisconsin enrollment
  • 25 clinicians in this Medicare group
NPI 1790786929 (715) 254-9072

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53916 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA ANN FARRELL MD
Psychiatry & Neurology (Psychiatry)
1701 N SPRING ST
BEAVER DAM, WI 53916
Dodge County (920) 887-1200
PAIN CENTERS OF WISCONSIN - BEAVER DAM, LLC
Durable Medical Equipment & Medical Supplies
1701 N SPRING ST
BEAVER DAM, WI 53916
Dodge County (414) 325-7246
PAIN CENTERS OF WISCONSIN - BEAVER DAM, LLC
Clinic/Center (Ambulatory Surgical)
1701 N SPRING ST
BEAVER DAM, WI 53916
Dodge County (414) 325-7246
ADVANCED PAIN MANAGEMENT SC
Durable Medical Equipment & Medical Supplies
1701 N SPRING ST
BEAVER DAM, WI 53916
Dodge County (414) 325-7246

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Seiler's NPI number?

The NPI number for Samantha Seiler is 1366006959. It was assigned to this individual provider in the NPPES registry on April 29, 2019.

Where is Samantha Seiler located?

Samantha Seiler practices at 1701 N Spring St, Beaver Dam, WI 53916. The listed phone number is (920) 644-0317.

What is Samantha Seiler's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Samantha Seiler enrolled in Medicare?

Yes. Samantha Seiler is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Samantha Seiler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Seiler reassigns Medicare benefits to La Clinica De Los Campesinos, Inc (Stevens Point, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samantha Seiler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Seiler accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource, CareSource (Common Ground Healthcare) and HealthPartners and 4 other insurers list Samantha Seiler as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samantha Seiler was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.